Knowledge and attitude of postnatal mothers towards neonatal care in a rural area of Maharashtra, India
Keywords:Rearing practices, Postnatal mother, Neonatal period
Background: The neonatal period encompassing the first 28 days of extra uterine life is the most crucial time in baby’s life. It is an important link in the chain of events from conception to childhood. The mother’s or caregivers` past experiences and knowledge play an important role in safeguarding the new-born’s health and enhancing adaptation to the new environment.
Methods: A community based cross sectional study was carried out in the rural area of Pune district for 2 months period. Thirty postnatal mothers within 28 days of delivery were given semi-structured questionnaire to assess neonatal rearing practices amongst them.
Results: Seventeen percent mothers initiated breast feeding within one hour of delivery, 15% after two days while 33% did not give colostrum to the baby. Thirty seven percent women gave no prelacteal feeds. Eighty seven percent gave zero polio doses to their baby. Sixty three percent bathed the baby by day two while 11% bathed as late as after 30 days. Ninety seven percent gave sesame seed oil massage to the baby.
Conclusions: Most mothers had good practices even though the beliefs were different. Awareness of the need to initiate breast feeding within one hour and to continue it during baby’s illness and need for exclusive breast feeding for first six months is essential.
Ghai OP. Essential Pediatrics, CBS Publishers, New Delhi, 6th edition, 2008; pp. 169.
Singh M. Traditional and cultural practices for the care of new-born babies. In: Care of the new-born. 4th ed. New Delhi: Sagar publishers; 1997. pp. 142-144.
National Fact Sheet India 2005-2006. National Family Health Survey 3 (NFHS-3) Ministry of Health and Family Welfare, Government of India. International institute for population studies, Mumbai, 2005-2006. Available at http://www.rchiips.org/NFHS/PDF/India.pdf.
Wong D. Essential of Pediatric Nursing, 9th ed. Missouri: Mosby publications. 2000; pp. 144-45.
Bryce J, Boschi-Pinto C, Shibuya K, Black RE, WHO estimates causes of death in children. Lancet. 2005;365(9465):1147-52.
Dadhich JP, Paul V. State of India’s New-borns Report. New Delhi: National Neonatology Forum and Saving New-born Lives/Save the Children; 2004.
Hyder A, Morrow R, Wali S, Mc Guckin J. Burden of disease for neonatal mortality in South Asia and Sub Saharan Africa. Washington,DC: Save the children federation-USA; 2001. pp. 1-93.
Lauderdale J. Childbearing and Transcultural nursing care issues. In: Andrews M, Boyle J, editors. Transcultural concepts in nursing care. 3rd ed. Philadelphia: Lippincott; 1999. pp. 81-106.
UNICEF/WHO/The World Bank/UN Pop Div. Levels and trends in child mortality. Report 2013. Available at http://www.who.int/ maternal_child_adolescent/ epidemiology/ profiles/ neonatal_child/ind.pdf
State Fact sheet 2007-2008. District level household and facility survey (DLHS-3), 2007-2008. Available at: http://www.rchiips.org/state-fact-sheet-rch3.html
Dadhich JP, Agarwal RK. Main streaming early and exclusive breast feeding for improving child survival. Indian pediatr. 2009;46(1):11-7.